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South Dakota rates for HCPCS K0195

Elevating legrests, pair (for use with capped rental wheelchair base)

Facilitymedian $182 · 10th–90th $20–$3720%10%10th90th$182Professionalmedian $135 · 10th–90th $14–$1780%10%20%10th90th$135$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $134.90 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $194.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $181.97 / $371.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $11.48 / $162.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $97.72 / $162.18
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83